阴阳调整针刺法配合康复训练改善脑卒中下肢痉挛的临床观察

Therapy of Yin- Yang Adjustment Acupuncture with Rehabilitation Training to Improve Lower Limb Spasm for the Post- stroke Patients with Spastic Paralysis

目的:探讨运用阴阳调整针刺法结合康复训练治疗对脑卒中下肢痉挛肌张力及运动功能的影响,寻找脑卒中后改善肌张力障碍的有效方法。方法:将60例患者随机分为试验组和对照组,每组30例。试验组采取阴阳调整针刺法配合康复训练,对照组采用单纯普通针刺法配合康复训练治疗。治疗前后评定两组下肢肌张力疗效、肌张力改善值及FIM运动功能。10天为1个疗程,共治疗3个疗程。结果:治疗前、后改良Ashworth评分疗效比较,试验组显效率、总有效率优于对照组(P<0.05),试验组Ashworth评分改善值、FIM运动功能评分高于对照组(P<0.05)。结论:阴阳调整针刺法结合康复训练改善中风下肢痉挛疗效显著,优于单纯普通针刺结合康复训练治疗。

Objective：To explore the clinical effects of combined Yin-Yang adjustment acupuncture with re-habilitation training on lower limb muscle tension and function in post-stroke patients,finding effective ways to improve the dystonia after stroke.Methods：Sixty post-stroke patients with spastic paralysis were randomized into a treatment group and a control group, with 30 patients in each group.The treatment group received com-bined Yin-Yang adjustment acupuncture and rehabilitation training （ n=30 ） , and the control group received combined traditional acupuncture and rehabilitation training（n=30）.The intensity of spasm effect, improving muscle tension scores and FIM scores of lower limb muscle were assessed before and after treatment in both groups.One course of treatment consisted of 10 days.Treatment was given for a total of 3 courses.Results：Af-ter treatment, the treatment group had a significant improvement in evaluation of Ashworth score effect,and the efficiency and total effective rate between the two groups also had a significant difference（P〈0.05）;the com-parison of improving Ashworth index, FIM index between the two groups also had a significant difference（ P〈0 .05 ） .Conclusion：Combined Yin-Yang adjustment acupuncture with rehabilitation training can significantly improve lower extremity motor function and reduce muscle tension of stroke patients with pastic paralysis.